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Organization

RIVERSIDE RECOVERY RESOURCES

Active
Other names
First Step House
Organization subpart
No

Provider details

NPI number
Authorized official
BERNARD L TRUAX II (EXECUTIVE DIRECTOR)
(951) 290-5870
Entity
Organization

Contact information

Practice address
40329 STETSON AVE, HEMET, CA 92544-7358
(951) 658-4466
(951) 294-5806
Mailing address
PO BOX 549, LAKE ELSINORE, CA 92531-0549
(951) 290-5870
(951) 294-5806

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
330009FN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
330009CN
STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES LICENSE
CA
Enumeration date
02/14/2014
Last updated
02/14/2014
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